<?xml version="1.0" encoding="UTF-8"?>
<!-- edited with XMLSpy v2005 sp1 U (http://www.xmlspy.com) by Chuck Allen (HR-XML Consortium, Inc.) -->
<xsd:schema xmlns="http://ns.hr-xml.org/2007-04-15" xmlns:xsd="http://www.w3.org/2001/XMLSchema" targetNamespace="http://ns.hr-xml.org/2007-04-15" elementFormDefault="qualified" version="2007-04-15">
	<xsd:annotation>
		<xsd:documentation>
"Copyright  The HR-XML Consortium. All Rights Reserved. http://www.hr-xml.org"
Name: USTierCoverage.xsd
Status: Recommendation
Date this version: 2007-04-15
Purpose: 
Author(s): 
Documentation: Enrollment.html

		</xsd:documentation>
	</xsd:annotation>
	<xsd:import namespace="http://www.w3.org/XML/1998/namespace" schemaLocation="../../../W3C/xml.xsd"/>
	<xsd:include schemaLocation="../../CPO/PersonName.xsd"/>
	<xsd:include schemaLocation="../../CPO/PostalAddress.xsd"/>
	<xsd:include schemaLocation="../../CPO/DateTimeDataTypes.xsd"/>
	<xsd:include schemaLocation="../../CPO/ContactMethod.xsd"/>
	<xsd:include schemaLocation="../../CPO/TelcomNumber.xsd"/>
	<xsd:include schemaLocation="../../CPO/OnlineAddress.xsd"/>
	<xsd:include schemaLocation="../../CPO/EntityIdType.xsd"/>
	<xsd:include schemaLocation="../../CPO/UserArea.xsd"/>
	<xsd:include schemaLocation="../../CPO/ISOUtilities.xsd"/>
	<xsd:include schemaLocation="../../Enrollment/EnrollmentTypes.xsd"/>
	<xsd:complexType name="USTierCoverage">
		<xsd:sequence>
			<xsd:element name="TransactionCode" minOccurs="0">
				<xsd:simpleType>
					<xsd:restriction base="xsd:string">
						<xsd:enumeration value="Add"/>
						<xsd:enumeration value="Audit"/>
						<xsd:enumeration value="Change"/>
						<xsd:enumeration value="Correction"/>
						<xsd:enumeration value="Delete"/>
						<xsd:enumeration value="Employee Information Not Available"/>
						<xsd:enumeration value="Reinstatement"/>
						<xsd:enumeration value="Termination"/>
					</xsd:restriction>
				</xsd:simpleType>
			</xsd:element>
			<xsd:element name="ElectedPlanCode" type="xsd:string" minOccurs="0"/>
			<xsd:element name="GroupNumber" type="xsd:string" minOccurs="0"/>
			<xsd:element name="COBRAStatus">
				<xsd:simpleType>
					<xsd:restriction base="xsd:string">
						<xsd:enumeration value="COBRA"/>
						<xsd:enumeration value="non-COBRA"/>
					</xsd:restriction>
				</xsd:simpleType>
			</xsd:element>
			<xsd:element name="StartDate" type="LocalDateType"/>
			<xsd:element name="COBRAInformation" minOccurs="0">
				<xsd:complexType>
					<xsd:sequence>
						<xsd:element name="COBRAStartDate" type="LocalDateType" minOccurs="0"/>
						<xsd:element name="COBRAEndDate" type="LocalDateType" minOccurs="0"/>
						<xsd:element name="PaidThroughDate" type="LocalDateType" minOccurs="0"/>
						<xsd:element name="QualifyingEventDate" type="LocalDateType" minOccurs="0"/>
						<xsd:element name="QualifyingEventCode" minOccurs="0">
							<xsd:simpleType>
								<xsd:restriction base="xsd:string">
									<xsd:enumeration value="Bankruptcy of a Retired Employee"/>
									<xsd:enumeration value="Death"/>
									<xsd:enumeration value="Divorce"/>
									<xsd:enumeration value="Ineligible Child"/>
									<xsd:enumeration value="Medicare"/>
									<xsd:enumeration value="Reduction of work hours"/>
									<xsd:enumeration value="Separation"/>
									<xsd:enumeration value="Termination of Employment"/>
								</xsd:restriction>
							</xsd:simpleType>
						</xsd:element>
						<xsd:element name="AdditionalQualifyingEventData" type="xsd:string" minOccurs="0"/>
					</xsd:sequence>
				</xsd:complexType>
			</xsd:element>
			<xsd:element name="EndDate" type="LocalDateType" minOccurs="0"/>
			<xsd:element name="CoverageLevel" maxOccurs="unbounded">
				<xsd:complexType>
					<xsd:sequence>
						<xsd:element name="CoverageLevelCode">
							<xsd:simpleType>
								<xsd:union memberTypes="CoverageLevelCodeType xStringPatternExtensionType"/>
							</xsd:simpleType>
						</xsd:element>
						<xsd:element name="StartDate" type="LocalDateType"/>
					</xsd:sequence>
				</xsd:complexType>
			</xsd:element>
			<xsd:element name="Provider" minOccurs="0" maxOccurs="unbounded">
				<xsd:complexType>
					<xsd:sequence>
						<xsd:element name="StartDate" type="LocalDateType" minOccurs="0"/>
						<xsd:choice minOccurs="0">
							<xsd:element name="OrganizationName" type="xsd:string" minOccurs="0"/>
							<xsd:element name="PersonName" type="PersonNameType" minOccurs="0"/>
						</xsd:choice>
						<xsd:element name="ContactInformation" type="ContactMethodType" minOccurs="0" maxOccurs="unbounded"/>
						<xsd:element name="ProviderId" minOccurs="0">
							<xsd:complexType>
								<xsd:simpleContent>
									<xsd:extension base="xsd:string">
										<xsd:attribute name="providerIdQualifier" use="required">
											<xsd:simpleType>
												<xsd:restriction base="xsd:string">
													<xsd:enumeration value="Social Security Number"/>
													<xsd:enumeration value="Federal Taxpayer Identification Number"/>
													<xsd:enumeration value="HCFA National Provider Identifier"/>
													<xsd:enumeration value="Mutually Defined"/>
												</xsd:restriction>
											</xsd:simpleType>
										</xsd:attribute>
									</xsd:extension>
								</xsd:simpleContent>
							</xsd:complexType>
						</xsd:element>
						<xsd:element name="ProviderRelationshipCode" minOccurs="0">
							<xsd:simpleType>
								<xsd:restriction base="xsd:string">
									<xsd:enumeration value="Established Patient"/>
									<xsd:enumeration value="Not Established Patient"/>
									<xsd:enumeration value="Not Known"/>
								</xsd:restriction>
							</xsd:simpleType>
						</xsd:element>
						<xsd:element name="ProviderChangeReason" minOccurs="0">
							<xsd:simpleType>
								<xsd:restriction base="xsd:string">
									<xsd:enumeration value="Appointment Times Not Met in a Timely Manner"/>
									<xsd:enumeration value="Current Customer Information File in Error"/>
									<xsd:enumeration value="Dissatisfaction with Medical Care/Services Rendered">
										<xsd:annotation>
											<xsd:documentation>This enumeration has been deprecated and replaced with an enumeration without the "/".</xsd:documentation>
										</xsd:annotation>
									</xsd:enumeration>
									<xsd:enumeration value="Dissatisfaction with Office Staff"/>
									<xsd:enumeration value="Dissatisfaction with Physician's Referral Policy">
										<xsd:annotation>
											<xsd:documentation>This enumeration has been deprecated and replaced with an enumeration without the apostrophe.</xsd:documentation>
										</xsd:annotation>
									</xsd:enumeration>
									<xsd:enumeration value="Dissatisfied with Office Hours"/>
									<xsd:enumeration value="Inconvenient Office Location"/>
									<xsd:enumeration value="Less Respect/Attention/Time Given Than to Other Patients">
										<xsd:annotation>
											<xsd:documentation>This enumeration has been deprecated and replaced with an enumeration without the "/".</xsd:documentation>
										</xsd:annotation>
									</xsd:enumeration>
									<xsd:enumeration value="No Reason Given"/>
									<xsd:enumeration value="Patient Moved to a New Location"/>
									<xsd:enumeration value="Plan Change"/>
									<xsd:enumeration value="Unable to Scheduled Appointments in a Timely Manner"/>
									<xsd:enumeration value="Voluntary Withdrawal"/>
									<xsd:enumeration value="Dissatisfaction with Medical Care or Services Rendered"/>
									<xsd:enumeration value="Dissatisfaction with Physician Referral Policy"/>
									<xsd:enumeration value="Less Respect or Attention or Time Given Than to Other Patients"/>
								</xsd:restriction>
							</xsd:simpleType>
						</xsd:element>
					</xsd:sequence>
					<xsd:attribute name="providerType">
						<xsd:simpleType>
							<xsd:restriction base="xsd:string">
								<xsd:enumeration value="Obstetrics and Gynecology Facility"/>
								<xsd:enumeration value="Doctor of Optometry"/>
								<xsd:enumeration value="Primary Care Provider"/>
								<xsd:enumeration value="Pharmacy"/>
								<xsd:enumeration value="Dentist"/>
								<xsd:enumeration value="Managed Care Organization"/>
							</xsd:restriction>
						</xsd:simpleType>
					</xsd:attribute>
					<xsd:attribute name="providerTypeQualifier">
						<xsd:simpleType>
							<xsd:restriction base="xsd:string">
								<xsd:enumeration value="Person"/>
								<xsd:enumeration value="Non Person Entity"/>
							</xsd:restriction>
						</xsd:simpleType>
					</xsd:attribute>
				</xsd:complexType>
			</xsd:element>
			<xsd:element name="PlanParticipationSuspensionDate" type="LocalDateType" minOccurs="0"/>
			<xsd:element name="EnrollmentSignatureDate" type="LocalDateType" minOccurs="0"/>
			<xsd:element name="Carrier" type="CarrierData" minOccurs="0"/>
			<xsd:element name="HSAVendor" type="HSAVendorType" minOccurs="0"/>
			<xsd:element name="EligibilityPostalCode" type="xsd:string" minOccurs="0"/>
			<xsd:element name="IdCard" type="IdCardData" minOccurs="0"/>
			<xsd:element name="EligibilityRegion" type="xsd:string" minOccurs="0"/>
			<xsd:element name="OriginalEffectiveDate" type="LocalDateType" minOccurs="0"/>
			<xsd:element name="LateEntrantIndicator" type="xsd:boolean" minOccurs="0"/>
		</xsd:sequence>
		<xsd:attribute name="type" type="USTierCoveragePlanType" use="required"/>
	</xsd:complexType>
	<xsd:simpleType name="USTierCoveragePlanType">
		<xsd:restriction base="xsd:string">
			<xsd:enumeration value="24 Care"/>
			<xsd:enumeration value="Dental"/>
			<xsd:enumeration value="Dental Capitation"/>
			<xsd:enumeration value="Exclusive Provider Organization"/>
			<xsd:enumeration value="Health"/>
			<xsd:enumeration value="Health Maintenance Organization"/>
			<xsd:enumeration value="Hearing"/>
			<xsd:enumeration value="Long Term Care"/>
			<xsd:enumeration value="Long Term Disability"/>
			<xsd:enumeration value="Mail Order Drug"/>
			<xsd:enumeration value="Major Medical"/>
			<xsd:enumeration value="Medicare Risk"/>
			<xsd:enumeration value="Mental Health"/>
			<xsd:enumeration value="Point of Service"/>
			<xsd:enumeration value="Preferred Provider Organization"/>
			<xsd:enumeration value="Prescription Drug"/>
			<xsd:enumeration value="Preventative Care"/>
			<xsd:enumeration value="Short Term Disability"/>
			<xsd:enumeration value="Utilization Review"/>
			<xsd:enumeration value="Vision"/>
		</xsd:restriction>
	</xsd:simpleType>
</xsd:schema>
